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[足部的炎症变化]

[Inflammatory changes of the foot].

作者信息

Sprengel S D, Klaan B, Kintzele L

机构信息

Radiologische Klinik, Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinik Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

Diagnostische und Interventionelle Radiologie, Universitätsmedizin Rostock, Rostock, Deutschland.

出版信息

Radiologe. 2018 May;58(5):433-441. doi: 10.1007/s00117-018-0364-x.

DOI:10.1007/s00117-018-0364-x
PMID:29532115
Abstract

BACKGROUND

Inflammatory changes of the foot are comparatively rare and can be a challenge for radiologists with respect to the differential diagnosis, especially in cases with pre-existing degenerative changes of the foot skeleton. Comprehensive anamnesis and the use of contrast-enhanced MRI diagnostics are therefore often essential for diagnosis.

OBJECTIVES

This review provides a cursory overview of the morphological characteristics of inflammatory changes of the foot and their differential diagnoses with a focus on osteomyelitis, joint infections, rheumatological diseases and tenosynovitis.

摘要

背景

足部的炎症性改变相对少见,对于放射科医生而言,在鉴别诊断方面可能具有挑战性,尤其是在足部骨骼已有退行性改变的病例中。因此,全面的病史采集和使用对比增强磁共振成像诊断对于诊断通常至关重要。

目的

本综述简要概述了足部炎症性改变的形态学特征及其鉴别诊断,重点关注骨髓炎、关节感染、风湿性疾病和腱鞘炎。

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2
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本文引用的文献

1
Bone tumors of the pediatric foot: imaging appearances.小儿足部骨肿瘤:影像学表现
Pediatr Radiol. 2017 May;47(6):739-749. doi: 10.1007/s00247-016-3752-2. Epub 2017 May 5.
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Frequency of Arthritis-Like MRI Findings in the Forefeet of Healthy Volunteers Versus Patients With Symptomatic Rheumatoid Arthritis or Psoriatic Arthritis.健康志愿者与有症状的类风湿关节炎或银屑病关节炎患者前足类似关节炎的MRI表现频率
AJR Am J Roentgenol. 2017 Feb;208(2):W45-W53. doi: 10.2214/AJR.16.16626. Epub 2016 Dec 8.
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Lyme Disease Manifestations in the Foot and Ankle: A Retrospective Case Series.
足部和踝关节的莱姆病表现:一项回顾性病例系列研究
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Plantar tendons of the foot: MR imaging and US.足部跖腱膜:MR 成像与 US。
Radiographics. 2013 Nov-Dec;33(7):2065-85. doi: 10.1148/rg.337125167.
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Unusual sites of Ewing sarcoma (ES): a retrospective multicenter 30-year experience of the Italian Association of Pediatric Hematology and Oncology (AIEOP) and Italian Sarcoma Group (ISG).尤文肉瘤(ES)的不常见部位:意大利儿科血液学和肿瘤学会(AIEOP)和意大利肉瘤研究组(ISG)30 年回顾性多中心经验。
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MRI evaluation of bone marrow changes in the diabetic foot: a practical approach.糖尿病足骨髓变化的MRI评估:一种实用方法。
Semin Musculoskelet Radiol. 2011 Jul;15(3):257-68. doi: 10.1055/s-0031-1278425. Epub 2011 Jun 3.
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Detection of vascularity in wrist tenosynovitis: power doppler ultrasound compared with contrast-enhanced grey-scale ultrasound.腕腱鞘炎中血管的检测:能量多普勒超声与对比增强灰阶超声的比较。
Arthritis Res Ther. 2010;12(6):R209. doi: 10.1186/ar3185. Epub 2010 Nov 9.
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Imaging of osteomyelitis: current concepts.骨髓炎的影像学:当前概念
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